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Home My WebLink AboutInspection - 333 RALEIGH TAVERN LANE 1/1/2002 �/'/' t!'✓Jx��itl Y/�4 f..�ff.F"d 4(/l' l�R f 4,ff/4.N.Fd'F-4. C...�f��(./L..9.i✓l�g t...//('.4..'. 44 C ornn°rorcaial Street ayrnharn, M 0 767 "Fel: (508) 880-0233 Fax: (508) 880-723; November 22, 2002 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF 156 Attached please find the Field Inspection & Service Report (as required) for services performed on 11/13/2002 at the property of Thomas Shea located at 333 Raleigh Tavern Lane m North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Thomas Shea r' COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 0'1108 617292.5500 DEP Approved Inspection and O&NI Form for Title 5 VA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: O&M Firm: 333 Raleigh Tavern Lane: I IV North Andover Owner Name: Mail Address: � Mail Address: Thomas Shea 44 Commercial Street,Raynham,MA 02767 333 Raleigh Tavem Lane Telephone No. Tel:OW)880_0233 Fax:(508)880.7232 North Andover,MA 01845 Certified Operator Name: Telephone No.: 9782628674 DEP No.: Mfr. No.: Cert.No.: 7� `I Model No,: icro Fps T r" Installation Date: Start of Operation: I Approval Type: (Circle) Seasona tdence-used less than 6 mo. year: (Circle) General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection Date: Sludge Depth:(to be checked yearly) Pumpin, ended(Circle) Yes No Effluent Description: Attach copy of certified lab results. 1� Check all that are required C, 0 V J/ Samples:Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: G Notes and Comments: I certify: I have inspected the sewage treatment and dis sal system at the address above, have completed this report and the attached manufactur is operation and main nance 51f5cklist, and the information reported is true, accurate, and complete as of the time of the i p coon. I Mass usett ifed operator in accordance with 357 CN1R 3.00. /Z13 Z)2 e or S' azure Date System owner must submit Remedial Use-by January 3l"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting & Provisional Use - within One Winter Street, 6'h Floor to the local Board of Health 30 days of inspection date General Use—by September 30`s of Boston, M.-� 02108 and DEP as follows for each year for the previous l2 months each inspection performed: 5/1,01 IS' 1 INCORPORATED 8450 Cole Parkway ■ Shawnee, KS 66227 a Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite _biomicrobics.com ■www.biomicrobics.com a 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION �UTIGRIZED SERVICE 'Rt�VII7R y ,mow 333 Raleigh Tavern Lane Installation Address North Andover,MA 01845 Owner Name Thomas Shea �asG°uu�ateer ✓�� Jwice�, Mail Address 333 Raleigh Tavern Lane qq Commercial street,Raynham,MA 02767 North Andover, MA 01845 Tel:I5o6>880.0233 Fax.(55,08)860-7232 city State Zip 9782628674 508-880-7232 Phone Fax e-mail Phone Fax e-mail YINSTt1I.LATION:II�TFOI"t1IQN Model No. Serial No. Date of Installation Date of last pumpout MCF156 11/5/98 E UIPMENT t r' 1 �YES , 3>y 4b Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not se tic) TECHNICIAN SIGNAIURE ; SERVICE DATE l"F-"A'j*'wr"1&1' ".�e�`all/welly 4YTOtF'`.!ew, id,M .." w. ,.,... _... ,-,-,-W............. .. ...... ............ ...... 44 Coiniiiewial Street Raynh rrr, MA �. 02767 Fax: (508) 880-7232 / kNin Y;y August 26, 2002 F ly North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF156 Attached please find the Field Inspection & Service Report and test results (as required) for services performed on 8/8/2002at the property of Thomas Shea located at 333 Raleigh Tavern Lane -North Andover, MA. Please call if you have any questions or require additional information. Si c rely, net M. Whitman Enclosures Copy to: Thomas Shea COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENvIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 0'21 108 617.292.5500 DEP Approved Inspection and O&NI Form for Title 5 VA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: ( &NI Firm: 333 Raleigh Tavem Lane: North Andover Owner Name: MA Mail Ad ��a��cua �reatiru�aGcl�Yrice�, .�n� Thomas Shea 44 Commercial Street,Raynham,MA 02767 ,Mail Address: Tel:(508)880.0233 Fax:(508)880-7232 333 Raleigh Tavern Lane Tela ho North Andover,MA 01845 Certified Operator Name: Telephone No.: 9782628674 1"1 L FAA DEP No.: Mfr. No.: Cert. No.: IC.rO ��S I Model No.: Installatio PA n Date: Start of Operation: I Approval Type: (Circle) Seasona idence-used less than 6 mo. year: (Circle) General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection Date:: Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) i Yes No Effluent Description: Attach copy of certified lab results. Check all that are required Samples: Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: 12--C19 64 r-LL 1`"2:2_ G1��0✓V�O � C.dwy�, Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a M sac usetts certified operator in accordance with 257 CNiR 2.00. Operator Signature Date System owner must submit Remedial Use—by January 3 I"of Department of Environmental this report, manufacturer's each year for the previous calendar protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting & Provisional Use - within One Winter Street, 6'" Floor to the local Board of Health LO days of inspection date General Use- by September 30'"of Boston, NIA 0. 108 and DEP as follows for each year for the previous 12 months each inspection performed: 511,01 1 � Q 1 e Ie 1 I H C 0 R P 0 R A T E 0 8450 Cole Parkway ■ Shawnee, KS 66227■Phone 913-422-0707 a Fax: 912-422-0808 e-mail: onsite(aUbiomicrobics.com a www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST(R) System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North Andover, MA 01845 Owner Name Thomas SheaaseFecuater 9i erxrin�aG JuY , �ir� Mail Address 333 Raleigh Tavern Lane North Andover, MA 01845 44 Commercial Street,Raynham,MA 02767 city State Zip Tel:(508)880-0233 Fax:(508)880-7232 9782628674 wo- wo-oov-r4ja I L Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION a3 .;, Model No. Serial No. Date of Installation Date of last pumpout MCF156 11/5/98 -J E UIPMENT YES NO .:-,' , :• MAINTENANCE PERFORMED ANl).COQ Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent) sP Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear L� Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Reg uired: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(options]) LEWr RESULT Estimated Daily Flow 3 Bedrooms H(Standard Units) 6-9 U. Color ear —Temperature Odor Slightly musty odor (not septic) /L flG.4 f,0 01=/G! s s.w sv. TECHNICIAN SIGNATURE SERVICE DATE Environmental Chemistry Environmental Services Site Assessment ��- -� L Ce Site Sampling Quality Assurance Services Ce Data Auditing C O R P R ... A .1' 1 O N, Wastewater Treatment Services, Inc. CE RTIFICATE OF ANALYSIS 44 Commercial Street REPORTED: 08/14/2002 Raynham, MA 02767 ORDER#: G0238544 COLLECTED BY: M. Dillen SAMPLE DATE: 8/8/2002 TIME: 12:00 DATE RECEIVED: 8/8/2002 LOCATION: 333 Realeigh Tavern,N. Andover, MA SAMPLE ID: Shea Grab DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0238544-OI BOD SM 5210B 08/09/2002 mg/L 4 6.2 PH SM 4500 H+B 08/09/2002 S.U. 0-14 6.6 Solids, Suspended SM 2540 D 08/13/2002 mg/L 4 <4.0 NA=Not Applicable ND=Not Detected <' = Less Than Approved By *' = Detection Limit Lab Dir or Date Ay4� Ana/ytica!Balattee Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page I of t ,, .».,,,,,,,,,,,�,,...,,,.d,,,,,,,,,,,.,.,,,,,,,,,,,,,,,,,,,.,,,...,, 44 cwnir)erci l ,�'�W�',,d RapAwn, MA 0276 Tel: (50 ) 880-0233 Fax: (50 ) 880-7232 May 23, 2002 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF156 Attached please find the Field Inspection & Service Report (as required) for services performed on 5/16/2002 at the home of Thomas Shea located at 333 Raleigh Tavern Lane North Andover, MA. Please call if you have any questions or require additional information. Sic rely, rr 1414 1-.R.,_, 7 et M. Whitman Enclosures Copy to: Thomas Shea COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02 (08 617.292.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider (nstallation Address: 0&,M Firm: 333 Raleigh Tavern Lane: North Andover ��a6Qseuater ,�Treafirte�G J�rviccea;, ,�n,� Owner Name: LVIA Mail Thomas Shea 44 Commercial Street,Raynham,MA 02767 j Mail address: Tel:(508)880-0233 Fax:(508)880-7232 I 333 Raleigh Tavern Lane Telte North Andover, MA 01845 Certified Operator Name: �� N Telephone No.: 9782628674 DEP No.: Mfr. No.: Cert.No.: 111'73 I !_ Model No.: Installation Date: �n ICrU FA S Start of Operation: I Approval Type: (Circle) S —used less than 6 mo year: (Circle)General Provisional Piloting Remedial Operating Information Previous Inspection Date: Inspection Date; P / !fn epth (to be chocked yearly) Pumping commended(Circle) i -s /! 4 Yes No Effluent Description: py of certified lab results. at are required Influent Effluent s: pH BOD TSS TN Other Other Description of Overall System Condition: n of any Maintenance Performed since Previous Inspection and During this Inspection: do r`c-PC I Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CIvIR 2.00. Operator Signature Dace System owner must submit Remedial Use—by January 3 l"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting ,3c Provisional Use - within One Winter Street, 6'" Floor to the local Board of Health LO days of inspection date General Use —by September 30'''of Boston, VIA 02108 and DEP as follows for each year for the previous 12 months each inspection performed: 5/1,01 WC01 4 R MPO R A T e 8450 Cole Parkway . Shawnee, KS 66227 ■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite0biomicrobics.com .www.biomicrobics.com . 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North Andover, MA 01845 Name J&R Sales&Service, Inc. Owner Name Thomas Shea Mail Address 333 Raleigh Tavern Lane North Andover, MA 01845 �as�e:u�ater ��atate�t Jeivtice�, �iu� city State Zip 9782628674 44 Commercial Street,Raynham,MA 02767 Tel:(508)660-0233 Fax:(506)680-7292 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout MCF156 11/5/98 EQUIPMENT YES NO MAINTENANCE PERFORMED AND CONIlvfENTS Electrical Panel s Visual Alarm Operatingf Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Y �' Excessive Noise v Excessive Vibration Treatment unit(s) Unusual Odor Pum out Reg uired: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optionaD LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) 6-9 S.U. Color Clear —Temperature Odor Slightly musty odor (not se tic) TECHNICIAN SIGNATTURE a SERVICE DATE - b 44 (:)nirnerc cal Street Raynharn, MA 02767 TO: (508) 880-0233 ax: (508) 880,7232 February 19, 2002 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST" Treatment System Serial Number: MCF 156 Attached please find the Field Inspection& Service Report (as required) for services performed on 2/8/2002 at the home of Thomas Shea located at 333 Raleigh Tavern Lane -North Andover, MA. Please call if you have any questions or require additional information. Sipc rely, net M. Whitman Enclosures Copy to: Thomas Shea COMMONWEALTH OF MASSACHUSET'T'S EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider Installation.Address: U&ivl Firm: 333 Raleigh Tavern Lane: i North Andover 4�A�tuuatu��reatmeieG Owner Name: Mail Address: J - Thomas Shea 44 Commercial street,Raynham,MA 02767 'Mail ,-address: Tel:(506)680.0233 Fax:(508)880.7232 333 Raleigh Tavern Lane Telephone No. North Andover,MA 01845 Certified Operator Name: Telephone No.: 9782628674 f%( DEP No.: Mfr. No.: Cert.No.: Model No.: I PA C.t'0 F Installation Date: Start of Operation: I�S T Approval Type: (Circle) Seasona idence—used less than 6 mo. year: (Circle) General Provisional Piloting Remedial Yes No Operating Information t Previous Inspection Date: Inspection Date- Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) i Yes No Effluent Description: Attach copy of certified lab results. Check all that are required Samples:Influent Effluent -D �SS Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection DO and During this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufac a 's operation and maintenance hecklist, and the information reported is true, accurate, and complete as of the time of the nspection. I Mass usett ertified operator in accordance with 357 CMR 2.00. Operator Siinature Date System owner trust submit Remedial Use—by January 3l"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting & Provisional Use • within One Winter Street, 6'" Floor to the local Board of Health 30 days of inspection date � Boston, :NIA 02108 and DEP as follows for General Use—by September 30 of each year for the previous 12 months each inspection performed: 5/1/01 , I N C 0 R P 0 R A T E 0 8450 Cole Parkway ■ Shawnee, KS 66227■Phone 913-422-0707 ■ Fax: 912-422-0808 e-mail: onsiteO-biomicrobics.com■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North Andover,MA 01845 Owner Name Thomas Shea Mail Address 333 Raleigh Tavern Lane �cxs�^eeuater STre� inereGJ�ruice� 5r5i� North Andover, MA 01845 44 Commercial Street,Raynham,MA 02767 city State Zip Tel:(606)660-0233 Fax:(5W)880-7232 9782628674 Phone Fax e-mail Phone Fax e-mail Q �NIXX e.en.. Model No. Serial No. Date of Installation Date of last pumpout MCF156 11/5/98 �.x��:�:.g ,�'� �- Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent A Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) t_ Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT ti LDHT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units 6-9 S.U. Color Clear Temperature Odor Slightly musty odor not sept ic) T)SCENCIAN SIGN SERVICE DATE `